Acceptance to Service Policy CMS 484.105
Support Home Health care LLC Acceptance to Service Policy
CMS 484.105
Policy Statement
Support Home Health care LLC will accept patients for home health services upon a reasonable expectation that the agency can adequately and safely meet each patient's medical, nursing, therapeutic ad social needs in their place of residence. This policy is applied consistently to each prospective patient referred to for home health care.
Policy Compliance Check
Ensuring adherence to established acceptance to service criteria
Purpose
To establish clear criteria and guidelines for accepting patients into service, ensuring compliance with federal regulations, specifically 42 CFR 484.105(i)
Acceptance criteria
Physician or healthcare provider's certification:
All admissions require a physician's or healthcare provider's order and certificatio of medical necessity for home health care
Assessment of Needs:
A registered nurse or qualified therapist will complete a comprehensive assessment (OASIS-E1 if applicable) to determine the patient's medical, functional, psychological and environmental needs.
Agency capacity
Acceptance will occur only if the agency has adequate staffing, resources and capability to meet the patient's identified needs effectively and safely.
Patients must reside within the agency's defined geographical service areas of 5 illinois counties (Cook, Dupage, Kane, Lake and McHenry).
Geographical coverage
Insurance Verification
Insurance coverage or source of payment will be verified prior to admission.
Support Home Health Care LLC accepts and provides services without regard to race, color, age, sex, religion, national origin, disability or sexual orientation.
Plan of care: All patient care will be provided based upon written physician (or healthcare provider) approved plan of care, reviewed and updated regularly in collaboration with the physician/ healthcare provider and interdisciplinary team.
Public Accessibility: This policy is publicly available and accessible via: this website:
https://www.supporthomehealth.com
Admissions and referral packets
Agency office display
Review and update: This policy will be reviewed annually or more frequently if regulatory changes require updates.
